I'm an NHS GP who wants to help make sense of the world of medicine, women's health and right now, covid 19. These podcasts are designed for our patients at Unity Health but might be helpful where ever you in live in the UK or elsewhere. They are based on up-to-date evidence-based medicine at the time of publishing but do let me know if I have made errors or the guidance has changed. These are designed to be used with the personalised advice that you can get from your GP or nurse.
Where to listen
Contraception in the time of Covid 19 (Coronavirus)
Rafe and his doctor mummy are back to answer your coronavirus questions. New and improved with double the kids. Featuring Bloop the Alien, Donald Trump and why grown ups don't know the answers. Covering topics like going back to school (or not), face masks and what to do if you can't smell the cow poo.
This episode covers the depo and Sayana Press injections which are progesterone only contraception options that given every 13 weeks. In the current COVID 19 situation, the Sayana Press may be a good option as you can learn to give yourself the injection without having to come to the GP surgery. I discuss how they work, the good and not-so-good things about them and how to get started on the Sayana Press injections based on our system at Unity Health. This video shows you how to do your own Sayana Press injections.: you should watch this before your video appointment when we will help teach you to give yourself the first injection. https://www.sayanaanswers.co.uk/guide-to-self-injection
And this is the link for setting up text reminders to give your next injection: https://www.sayanaanswers.co.uk/staying-on-track
The information in this podcast was based on the FSRH guidelines and was up to date when published on the 27/4/2020. Please tweet any feedback to @DrAmyKerstein and feel free to share with other people who might find this helpful.
Exercise is so important for our physical and mental health, especially in these weird times of lockdown, so I have picked the brains of two friends who happen to be local personal trainers. Neil Hussey and Emily Peasgood talk you through their approaches to staying active whether you love getting sweaty or you loathe it. We find out their favorite super-simple exercises, how to wear out your kids, and talk about getting your fitness back after you've been unwell.
If you want to find out more from them:
Don't worry: they haven't paid me to be featured in this podcast and the views expressed are mine and their own and not endorsed by Unity Health.
The video I talk about on breathing exercises to help you during and after a chest infection (for example with Covid 19) is here:
Answering children's questions about Covid 19. Covering important details like whether it started by someone eating a snake, whether you should kiss you pet gorilla and how to stand 1 cow from other people. Including facts, games, tips and lots of reassurance. It's aimed at primary school aged children.
You might want to listen to the "What to do if you think you've got Covid 19" podcast first. I hope this podcast will give advice on what might happen are if you become very unwell with Covid 19 (Also known as coronavirus). Some people might find this upsetting so it's ok to choose not to listen to this right now. But if you do, I hope it will give you the information you need to start to think about what you want to happen and how to share those thoughts. Remember, most people will never get this unwell but it can be helpful to plan, just in case.
What to expect from your GP surgery at this challenging time of Coronavirus. Hints and tips on how to get the best out of talking to your doctor on the telephone and other things you can do to help us to help you. Designed for patients at Unity Health in Buckinghamshire but I hope it will be helpful wherever you live in the UK. https://www.unity-health.co.uk/coronavirus-important-information/
Designed for NHS patients to give you practical tips on how to look after yourself if you think you have covid and how to tell if you need more help. I've based this on 111 and nhs advice at the time of recording on the 2/4/2020. If you are worried about yourself or a loved one: trust your instincts and get medical advice. Helpful links mentioned in the podcast include:
Our practice website:
Advice for carers from Carersbucks:
If your packets says ethinylestradiol and another hormone you are on a combined pill. If there is just one ingredient you are on a progesterone only pill. Listen to find out more how to tell the difference.
It might be trickier than usual to get hold of your usual contraception. This podcast tells you solutions whether you use a pill, implant, injection or coil. It is based on my interpretation of the FRSH guidance on this topic published on the 20th of March 2020. Great progesterone pill leaflet here thanks to Philippa Antell: https://docs.google.com/document/d/1skZbChsD5L0RBiVJBPO1qNmFclEvCyXLiZ9lbtfbbg0/edit?usp=drivesdk Enzyme inducing drugs list can be found here... https://www.nhs.uk/conditions/contraception/contraceptive-pill-interact-medicines/)
So what is the menopause, how can you tell if you are going through it and what can you expect? This episode covers common symptoms, whether you need a blood test and whether you can stop contraception if you are getting these symptoms. I am an NHS GP without specialised menopause training but have based this podcast on the experiences of my patients and the NICE 2017 guidance amongst other resources. I hope to go on to create a podcast to explain more about the confusing world of menopause treatment options...
If you take the pill (the one with oestrogen and progesterone) and want to minimise your chances of getting pregnant, make your periods more manageable or simply struggle to remember the pill sometimes this is the podcast for you. It's based on the current guidance from the FSRH and BNF in October 2019.
EDIT: DUE TO CORONA VIRUS, ALL COIL FITTINGS AT UNITY HEALTH HAVE BEEN CANCELLED FROM THE 20/3/2020. This is the current system at our surgeries in June 2019. We will try to update this podcast if it changes. If you are not one of our patients, please check the system at your own GP or Sexual Health clinic.
This covers the key things you should know if you are considering a coil. Worldwide, more women use coils than the contracperive pill. So what's so good about them? What's not so good and what can go wrong? What should you expect when you have one fitted? This information is based on the guidance from the fsrh (the uk sexual health and family planning faculty) and was correct at the time of publishing in June 2019.